MEDICARE: BLUE LOTUS HEALTH & ACUPUNCTURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC072	KY

General Provider Information

NPI Number	:	1346591971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE LOTUS HEALTH & ACUPUNCTURE

Provider Business Mailing Address
First Line	:	3720 WILLOW RIDGE RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40514-1562
Country	:	US
Telephone Number	:	859-533-0914
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 WILLOW RIDGE RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40514-1562
Country	:	US
Telephone Number	:	859-533-0914
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER, CLINIC MANAGER
Name	:	ARWEN CAREAGA
Credential	:
Telephone Number	:	859-533-0914

Provider Enumeration Date	:	09/22/2012
Last Update Date	:	01/20/2017

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